PLEKHM1

gene
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Also known as KIAA0356

Summary

PLEKHM1 (pleckstrin homology and RUN domain containing M1, HGNC:29017) is a protein-coding gene on chromosome 17q21.31, encoding Pleckstrin homology domain-containing family M member 1 (Q9Y4G2). Acts as a multivalent adapter protein that regulates Rab7-dependent and HOPS complex-dependent fusion events in the endolysosomal system and couples autophagic and the endocytic trafficking pathways. It is a selective cancer dependency (DepMap: 23.3% of cell lines).

The protein encoded by this gene is essential for bone resorption, and may play a critical role in vesicular transport in the osteoclast. Mutations in this gene are associated with autosomal recessive osteopetrosis type 6 (OPTB6). Alternatively spliced transcript variants have been found for this gene.

Source: NCBI Gene 9842 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): autosomal recessive osteopetrosis 6 (Strong, GenCC) — +1 more curated relationship
  • GWAS associations: 17
  • Clinical variants (ClinVar): 196 total — 3 pathogenic, 1 likely-pathogenic
  • Phenotypes (HPO): 39
  • Cancer dependency (DepMap): dependent in 23.3% of screened cell lines
  • MANE Select transcript: NM_014798

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:29017
Approved symbolPLEKHM1
Namepleckstrin homology and RUN domain containing M1
Location17q21.31
Locus typegene with protein product
StatusApproved
AliasesKIAA0356
Ensembl geneENSG00000225190
Ensembl biotypeprotein_coding
OMIM611466
Entrez9842

Gene structure

Transcript identifiers

Ensembl transcripts: 30 — 11 protein_coding, 11 nonsense_mediated_decay, 5 protein_coding_CDS_not_defined, 3 retained_intron

ENST00000430334, ENST00000446609, ENST00000579131, ENST00000579197, ENST00000580205, ENST00000580404, ENST00000581448, ENST00000582119, ENST00000583150, ENST00000584420, ENST00000585506, ENST00000586084, ENST00000586562, ENST00000589780, ENST00000590991, ENST00000591580, ENST00000700123, ENST00000700124, ENST00000700125, ENST00000700126, ENST00000700127, ENST00000700128, ENST00000700129, ENST00000700130, ENST00000700131, ENST00000700132, ENST00000700133, ENST00000861476, ENST00000958646, ENST00000958647

RefSeq mRNA: 2 — MANE Select: NM_014798 NM_001352825, NM_014798

CCDS: CCDS32671, CCDS92344

Canonical transcript exons

ENST00000430334 — 12 exons

ExonStartEnd
ENSE000023969124547790045478147
ENSE000027284554543590045437969
ENSE000027329494549065245490721
ENSE000034672914547510045475726
ENSE000035026504544016345440226
ENSE000035028454546820945468593
ENSE000035271044544547045445663
ENSE000035555884545335545454272
ENSE000036131784543947745439634
ENSE000036260744548243745482525
ENSE000036636834545816945458439
ENSE000036844284545061845450763

Expression profiles

Bgee: expression breadth ubiquitous, 134 present calls, max score 99.07.

FANTOM5 (CAGE): breadth broad, TPM avg 0.5170 / max 14.8748, expressed in 235 samples.

FANTOM5 promoters (2 alternative TSS)

Promoter IDTPM avgSamples expressed
1665500.4094188
1665490.107644

Top tissues by expression

134 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
lower esophagus mucosaUBERON:003583499.07gold quality
esophagus mucosaUBERON:000246995.91gold quality
bloodUBERON:000017895.62gold quality
bone marrowUBERON:000237193.08gold quality
bone marrow cellCL:000209292.93gold quality
skin of legUBERON:000151192.68gold quality
vaginaUBERON:000099692.65gold quality
minor salivary glandUBERON:000183092.26gold quality
esophagusUBERON:000104392.20gold quality
right hemisphere of cerebellumUBERON:001489091.98gold quality
sural nerveUBERON:001548891.98gold quality
granulocyteCL:000009491.85gold quality
zone of skinUBERON:000001491.84gold quality
cerebellumUBERON:000203791.62gold quality
cerebellar hemisphereUBERON:000224591.60gold quality
cerebellar cortexUBERON:000212991.57gold quality
ectocervixUBERON:001224991.41gold quality
saliva-secreting glandUBERON:000104491.35gold quality
monocyteCL:000057691.15gold quality
leukocyteCL:000073891.12gold quality
skin of abdomenUBERON:000141690.58gold quality
apex of heartUBERON:000209890.47gold quality
uterine cervixUBERON:000000290.43gold quality
mucosa of transverse colonUBERON:000499190.22gold quality
spleenUBERON:000210690.08gold quality
upper lobe of left lungUBERON:000895290.08gold quality
subcutaneous adipose tissueUBERON:000219089.72gold quality
pituitary glandUBERON:000000789.70gold quality
adenohypophysisUBERON:000219689.63gold quality
right lobe of thyroid glandUBERON:000111989.55gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 0.

ExperimentMarker?Max mean expression
E-ANND-3no2.07

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

104 targeting PLEKHM1, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4692100.0067.322066
HSA-MIR-10401-5P99.9965.79948
HSA-MIR-548AW99.9972.573559
HSA-MIR-451499.9967.101870
HSA-MIR-32-5P99.9875.211964
HSA-MIR-92A-3P99.9875.211960
HSA-MIR-92B-3P99.9875.251955
HSA-MIR-25-3P99.9874.601817
HSA-MIR-363-3P99.9874.721821
HSA-MIR-367-3P99.9874.831819
HSA-MIR-512-3P99.9767.351049
HSA-MIR-548AN99.9770.912817
HSA-MIR-7111-5P99.9768.482062
HSA-MIR-426799.9666.532368
HSA-MIR-1468-3P99.9672.743797
HSA-MIR-570-3P99.9672.414910
HSA-MIR-96-5P99.9572.802140
HSA-MIR-128-3P99.9571.172484
HSA-MIR-216A-3P99.9571.192505
HSA-MIR-314399.9371.963104
HSA-MIR-1213399.9271.822006
HSA-MIR-311999.9271.342390
HSA-MIR-1271-5P99.9171.991972
HSA-MIR-106A-5P99.9073.942683
HSA-MIR-17-5P99.8973.832665
HSA-MIR-3681-3P99.8870.462254
HSA-MIR-20B-5P99.8874.012621
HSA-MIR-106B-5P99.8874.722795
HSA-MIR-20A-5P99.8874.762769
HSA-MIR-1211999.8768.351653

Functional genomics

DepMap (CRISPR cell-line fitness): dependent in 23.3% of screened cell lines.

Literature-anchored findings (GeneRIF, showing 10)

  • These data indicate that B2 is a novel, ubiquitously expressed protein with a putative adapter function. The protein has been named AP162. (PMID:12820725)
  • PLEKHM1 is a novel gene implicated in the development of osteopetrosis, with a putative critical function in vesicular transport in the osteoclast. (PMID:17404618)
  • heterozygous mutation (R714C) of the osteopetrosis gene, pleckstrin homolog domain containing family M (with run domain) member 1 (PLEKHM1), impairs vesicular acidification and increases TRACP secretion in osteoclasts (PMID:17997709)
  • Rubicon and PLEKHM1 specifically and directly interact with Rab7 via their RH domain; this interaction is critical for their function; show Rubicon but not PLEKHM1 uniquely regulates membrane trafficking via simultaneously binding both Rab7 and PI3-kinase (PMID:20943950)
  • PLEKHM1 regulates autophagosome-lysosome fusion through homotypic fusion and protein sorting complex and LC3/GABARAP proteins. (PMID:25498145)
  • Authors show that Pleckstrin homology domain-containing protein family member 1 (PLEKHM1), a lysosomal adaptor, is targeted by Salmonella through direct interaction with SifA. (PMID:25500191)
  • identified PLEKHM1 as an endolysosomal adaptor platform that acts as a central hub to integrate endocytic and autophagic pathways at the lysosome (PMID:25905573)
  • The endolysosomal adaptor PLEKHM1 is a direct target for both mTOR and MAPK pathways. (PMID:33452816)
  • Osteopetrosis associated with PLEKHM1 and SNX10 genes, both involved in osteoclast vesicular trafficking. (PMID:35981699)
  • Downregulation of MYBL1 in endothelial cells contributes to atherosclerosis by repressing PLEKHM1-inducing autophagy. (PMID:38797732)

Cross-species orthologs

5 orthologs

OrganismSymbolGene ID
danio_rerioplekhm1ENSDARG00000099954
mus_musculusPlekhm1ENSMUSG00000034247
rattus_norvegicusPlekhm1ENSRNOG00000028521
drosophila_melanogasterPlekhm1FBGN0034694
caenorhabditis_elegansWBGENE00013093

Paralogs (4): RUBCNL (ENSG00000102445), DEF8 (ENSG00000140995), RUBCN (ENSG00000145016), PLEKHM3 (ENSG00000178385)

Protein

Protein identifiers

Pleckstrin homology domain-containing family M member 1Q9Y4G2 (reviewed: Q9Y4G2)

Alternative names: 162 kDa adapter protein

All UniProt accessions (15): Q9Y4G2, A0A8V8TPC1, A0A8V8TPC5, A0A8V8TPW0, A0A8V8TPW4, A0A8V8TQN1, A0A8V8TQZ6, A0A8V8TQZ8, J3KRL8, J3KRU0, J3KS30, K7EII8, K7EMP2, K7EPF2, K7EQ68

UniProt curated annotations — full annotation on UniProt →

Function. Acts as a multivalent adapter protein that regulates Rab7-dependent and HOPS complex-dependent fusion events in the endolysosomal system and couples autophagic and the endocytic trafficking pathways. Acts as a dual effector of RAB7A and ARL8B that simultaneously binds these GTPases, bringing about clustering and fusion of late endosomes and lysosomes. Required for late stages of endolysosomal maturation, facilitating both endocytosis-mediated degradation of growth factor receptors and autophagosome clearance. Interaction with Arl8b is a crucial factor in the terminal maturation of autophagosomes and to mediate autophagosome-lysosome fusion. Positively regulates lysosome peripheral distribution and ruffled border formation in osteoclasts. May be involved in negative regulation of endocytic transport from early endosome to late endosome/lysosome implicating its association with Rab7. May have a role in sialyl-lex-mediated transduction of apoptotic signals. Involved in bone resorption. (Microbial infection) In case of infection contributes to Salmonella typhimurium pathogenesis by supporting the integrity of the Salmonella-containing vacuole (SCV) probably in concert with the HOPS complex and Rab7.

Subunit / interactions. Interacts (via N- and C-terminus) with RAB7A (GTP-bound form). Simultaneously interacts with RAB7A and ARL8B; bringing about clustering and fusion of late endosomes and lysosomes. Interacts (via RUN domain) with ARL8B (GTP-bound form); the interaction is required for PLEKHM1 localization to lysosomes and for ARL8B function in delivery and degradation of endocytic and autophagic cargo in lysosomes. PLEKHM1 and PLEKHM2 compete for interaction with ARL8B. Interacts with ARL8A; the interaction is weaker than with ARL8B. Interacts with VPS41, VPS11, VPS18, VPS33A and VPS39; indicative for an association with the HOPS complex; the interactions with, at least, VPS41, VPS11, VPS18 and VPS33A require ARL8B. Interacts with GABARAP, GABARAPL, GABARAPL2, MAP1LC3A, MAP1LC3B and MAP1LC3C. Interacts with PAFAH1B. Interacts (via N- and C-terminus) with NDEL1. Interacts (via C-terminus) with MAP3K7. Interacts (via N- and C-terminus) with FAM98A. Interacts (via C-terminus) with DEF8; this interaction is weak but increased in a RAB7A-dependent manner. In colon carcinoma and breast carcinoma cells, it interacts with sialyl-lex-positive protein. (Microbial infection) Interacts with Salmonella typhimurium sifA.

Subcellular location. Autolysosome membrane. Endosome membrane. Late endosome membrane. Lysosome membrane.

Tissue specificity. Expressed in placenta, liver, prostate, thymus, spleen, ovary, colon, colon carcinoma and peripheral blood lymphocytes (PBL). Weakly expressed in brain, lung, kidney, and testis. No expression in heart, skeletal muscle, pancreas and small intestine. Predominantly expressed in the breast carcinoma cell line MCF-7.

Disease relevance. Osteopetrosis, autosomal recessive 6 (OPTB6) [MIM:611497] A rare genetic disease characterized by abnormally dense bone, due to defective resorption of immature bone. Osteopetrosis occurs in two forms: a severe autosomal recessive form occurring in utero, infancy, or childhood, and a benign autosomal dominant form occurring in adolescence or adulthood. Recessive osteopetrosis commonly manifests in early infancy with macrocephaly, feeding difficulties, evolving blindness and deafness, bone marrow failure, severe anemia, and hepatosplenomegaly. Deafness and blindness are generally thought to represent effects of pressure on nerves. The disease is caused by variants affecting the gene represented in this entry. Osteopetrosis, autosomal dominant 3 (OPTA3) [MIM:618107] A form of osteopetrosis, a rare genetic disease characterized by abnormally dense bone, due to defective resorption of immature bone. Osteopetrosis occurs in two forms: a severe autosomal recessive form occurring in utero, infancy, or childhood, and an autosomal dominant form occurring in adolescence or adulthood. OPTA3 is characterized by typical features of osteopetrosis such as fractures after minor trauma, early tooth loss, anemia, hepatosplenomegaly, and a generalized increase in bone mineral density. Some patients exhibit localized osteosclerosis and generalized osteopenia. The disease is caused by variants affecting the gene represented in this entry.

Domain organisation. The LIR (LC3-interacting region) motif mediates the interaction with ATG8 family proteins GABARAP, GABARAPL, GABARAPL2, and LC3A/B/C.

Miscellaneous. Sialyl-lex is a carcinoma associated antigen.

RefSeq proteins (2): NP_001339754, NP_055613* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR001849PH_domainDomain
IPR002219PKC_DAG/PEDomain
IPR004012Run_domDomain
IPR011993PH-like_dom_sfHomologous_superfamily
IPR025258RH_domDomain
IPR037213Run_dom_sfHomologous_superfamily
IPR042827PLEKHM1_PHDomain
IPR047326RUN_PLEKHM1Domain
IPR051366DEF8Family

Pfam: PF02759, PF13901

UniProt features (31 total): mutagenesis site 10, region of interest 5, modified residue 4, domain 3, sequence variant 2, sequence conflict 2, chain 1, short sequence motif 1, compositionally biased region 1, strand 1, zinc finger region 1

Structure

Experimental structures (PDB)

5 structures.

PDBMethodResolution (Å)
5DPSX-RAY DIFFRACTION2
8JC5X-RAY DIFFRACTION2.01
5DPWX-RAY DIFFRACTION2.19
5DPRX-RAY DIFFRACTION2.5
5DPTX-RAY DIFFRACTION2.9

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q9Y4G2-F166.860.32

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Post-translational modifications (4): 219, 432, 435, 490

Mutagenesis-validated functional residues (10):

PositionPhenotype
60strongly reduces interaction with arl8b. no effect on interaction with rab7a. no effect on late endosome and lysosome cl
63no effect on interaction with arl8b. no effect on interaction with rab7a.
119–123reduces interaction with arl8b. no effect on interaction with rab7a. loss of interaction with arl8b as well as late endo
720–722disrupts interaction with rab7a.
729disrupts interaction with rab7a.
769disrupts interaction with rab7a.
1021disrupts interaction with rab7 and no localization to endososmal membranes; when associated with g-1024, l-1029 and g-10
1024disrupts interaction with rab7 and no localization to endososmal membranes; when associated with g-1021, l-1029 and g-10
1029disrupts interaction with rab7 and no localization to endososmal membranes; when associated with g-1021, g-1024 and g-10
1032disrupts interaction with rab7and no localization to endososmal membranes; when associated with g-1021, g-1024 and l-102

Function

Pathways and Gene Ontology

Reactome pathways

0 pathways

MSigDB gene sets: 258 (showing top): GOBP_LYSOSOMAL_TRANSPORT, GOCC_VACUOLAR_MEMBRANE, GOBP_VESICLE_ORGANIZATION, SP3_Q3, GOBP_MEMBRANE_FUSION, GOBP_REGULATION_OF_RUFFLE_ASSEMBLY, GOBP_VACUOLAR_TRANSPORT, GOBP_VESICLE_MEDIATED_TRANSPORT, GOBP_REGULATION_OF_CELLULAR_COMPONENT_BIOGENESIS, AAAYRNCTG_UNKNOWN, GOBP_MACROAUTOPHAGY, GOBP_POSITIVE_REGULATION_OF_CELLULAR_COMPONENT_BIOGENESIS, GOBP_REGULATION_OF_CELL_PROJECTION_ORGANIZATION, RICKMAN_TUMOR_DIFFERENTIATED_WELL_VS_POORLY_DN, GOBP_ORGANELLE_MEMBRANE_FUSION

GO Biological Process (7): protein transport (GO:0015031), lysosome localization (GO:0032418), positive regulation of bone resorption (GO:0045780), autophagosome-lysosome fusion (GO:0061909), positive regulation of ruffle assembly (GO:1900029), late endosome to lysosome transport (GO:1902774), autophagy (GO:0006914)

GO Molecular Function (3): zinc ion binding (GO:0008270), protein binding (GO:0005515), metal ion binding (GO:0046872)

GO Cellular Component (11): nucleoplasm (GO:0005654), nucleolus (GO:0005730), lysosome (GO:0005764), late endosome membrane (GO:0031902), autolysosome (GO:0044754), autolysosome membrane (GO:0120281), lysosomal membrane (GO:0005765), endosome (GO:0005768), endosome membrane (GO:0010008), membrane (GO:0016020), cytoplasmic vesicle (GO:0031410)

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
nuclear lumen2
cellular anatomical structure2
transport1
intracellular protein localization1
establishment of protein localization1
vacuolar localization1
regulation of bone resorption1
bone resorption1
positive regulation of multicellular organismal process1
vesicle fusion1
macroautophagy1
ruffle assembly1
positive regulation of plasma membrane bounded cell projection assembly1
regulation of ruffle assembly1
lysosomal transport1
intercellular transport1
catabolic process1
transmembrane transport1
process utilizing autophagic mechanism1
transition metal ion binding1
binding1
cation binding1
intracellular membraneless organelle1
lytic vacuole1
late endosome1
endosome membrane1
secondary lysosome1
lysosomal membrane1
autolysosome1
lysosome1
lytic vacuole membrane1
endomembrane system1
cytoplasmic vesicle1
endosome1
cytoplasmic vesicle membrane1
bounding membrane of organelle1
cytoplasm1
intracellular vesicle1

Protein interactions and networks

STRING

858 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
PLEKHM1GABARAPO95166948
PLEKHM1OSTM1Q86WC4919
PLEKHM1CLCN7P51798908
PLEKHM1GABARAPL2P60520902
PLEKHM1ARL8BQ9NVJ2894
PLEKHM1TCIRG1Q13488889
PLEKHM1SNAP29O95721888
PLEKHM1F5GZY7F5GZY7857
PLEKHM1CA2P00918777
PLEKHM1STX17P56962754
PLEKHM1VAMP8Q9BV40744
PLEKHM1TNFRSF11AQ9Y6Q6740
PLEKHM1EPG5Q9HCE0737
PLEKHM1FYCO1Q9BQS8732
PLEKHM1SNX10Q9Y5X0730

IntAct

77 interactions, top by confidence:

ABTypeScore
PLEKHM1RAB7Apsi-mi:“MI:0915”(physical association)0.800
PLEKHM1RAB7Apsi-mi:“MI:0403”(colocalization)0.800
RAB7APLEKHM1psi-mi:“MI:0915”(physical association)0.800
RAB7APLEKHM1psi-mi:“MI:0403”(colocalization)0.800
VPS41PLEKHM1psi-mi:“MI:0915”(physical association)0.740
PLEKHM1VPS41psi-mi:“MI:0914”(association)0.740
VPS41VPS11psi-mi:“MI:0914”(association)0.710
PLEKHM1ARL8Bpsi-mi:“MI:0915”(physical association)0.710
PLEKHM1ARL8Bpsi-mi:“MI:0407”(direct interaction)0.710
ARL8BPLEKHM1psi-mi:“MI:0403”(colocalization)0.710
ARL8BPLEKHM1psi-mi:“MI:0407”(direct interaction)0.710
ARL8BPLEKHM1psi-mi:“MI:0915”(physical association)0.710
RAB7APLEKHM1psi-mi:“MI:0915”(physical association)0.700
PLEKHM1RAB7Apsi-mi:“MI:0915”(physical association)0.700
PLEKHM1RAB7Apsi-mi:“MI:0403”(colocalization)0.700

BioGRID (103): PLEKHM1 (Affinity Capture-RNA), PLEKHM1 (Negative Genetic), PLEKHM1 (Affinity Capture-RNA), DEF8 (Affinity Capture-Western), PLEKHM1 (Affinity Capture-Western), KIFC1 (Affinity Capture-Western), TPX2 (Affinity Capture-Western), PLEKHM1 (Affinity Capture-Western), FAM98A (Affinity Capture-Western), NDEL1 (Affinity Capture-Western), MAP3K7 (Affinity Capture-Western), RAP1B (Affinity Capture-Western), PLEKHM1 (Affinity Capture-Western), PLEKHM1 (Affinity Capture-Western), PLEKHM1 (Two-hybrid)

ESM2 similar proteins: A0A140LI67, B5KFD7, D4A7V9, M0R4F8, O08774, O35827, O43187, O70167, O70173, O88866, O88900, O95398, O95704, P0C5Y8, Q0P5I2, Q13322, Q14449, Q4QQS0, Q5BIW4, Q5ICW4, Q5JV73, Q5PQS0, Q5R810, Q60760, Q68DX3, Q6IFT4, Q6IRN0, Q6P4K6, Q6REY9, Q6S5L8, Q6TXD4, Q7TSI1, Q80TQ5, Q80VA5, Q8BW88, Q8CFA1, Q8IWE5, Q8R1C9, Q8R2S1, Q8VCC8

Diamond homologs: A5PJM7, A7E316, O01738, Q08AW4, Q22744, Q3TD16, Q4V8I4, Q5PQS0, Q6DDJ3, Q6DJB3, Q6ZN54, Q6ZWE6, Q7T0P6, Q7TSI1, Q80U62, Q8BM47, Q92622, Q99J78, Q9H714, Q9VTT9, Q9Y4G2, B1AVY7, Q08DX0, Q08E29, Q0V9V7, Q4R7B9, Q559T8, Q5FVJ0, Q5NVC2, Q5R4V2, Q5R5R4, Q5R7A7, Q5U3W3, Q6PDC0, Q7L099, Q80TQ5, Q8BIJ7, Q8IUI4, Q8IWE5, Q8R4C2

SIGNOR signaling

0 interactions.

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 29 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

GO biological processes:

GO termPartnersFoldFDR
endosome to lysosome transport677.8×4e-08
protein transport58.4×7e-03

Disease & clinical

Clinical variants and AI predictions

ClinVar

196 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic3
Likely pathogenic1
Uncertain significance147
Likely benign14
Benign20

Top pathogenic / likely-pathogenic (4)

Variant IDHGVSClassification
560304NM_014798.3(PLEKHM1):c.2140C>T (p.Arg714Cys)Pathogenic
560305NM_014798.3(PLEKHM1):c.3053_3054del (p.Thr1018fs)Pathogenic
922NM_014798.3(PLEKHM1):c.296+1G>APathogenic
3065942NM_014798.3(PLEKHM1):c.94C>T (p.Gln32Ter)Likely pathogenic

SpliceAI

2420 predictions. Top by Δscore:

VariantEffectΔscore
17:45439472:CATA:Cdonor_loss1.0000
17:45439473:ATACC:Adonor_loss1.0000
17:45439474:TACC:Tdonor_loss1.0000
17:45439476:C:Adonor_loss1.0000
17:45439476:CCTGA:Cdonor_gain1.0000
17:45439634:TCTG:Tacceptor_loss1.0000
17:45439635:C:CCacceptor_gain1.0000
17:45445465:CTCA:Cdonor_loss1.0000
17:45445467:CACCT:Cdonor_loss1.0000
17:45445469:CCT:Cdonor_gain1.0000
17:45445469:CCTCT:Cdonor_loss1.0000
17:45450612:ACTT:Adonor_loss1.0000
17:45450613:CTT:Cdonor_loss1.0000
17:45450614:TTA:Tdonor_loss1.0000
17:45450615:TA:Tdonor_loss1.0000
17:45450616:A:ACdonor_gain1.0000
17:45450616:ACCGG:Adonor_loss1.0000
17:45450617:C:CCdonor_gain1.0000
17:45450617:C:Gdonor_loss1.0000
17:45450617:CCG:Cdonor_gain1.0000
17:45450617:CCGGG:Cdonor_gain1.0000
17:45453456:T:TAdonor_gain1.0000
17:45454268:CAGTC:Cacceptor_gain1.0000
17:45454269:AGTC:Aacceptor_gain1.0000
17:45454270:GTC:Gacceptor_gain1.0000
17:45454273:C:CCacceptor_gain1.0000
17:45454273:C:Gacceptor_loss1.0000
17:45454274:T:Cacceptor_loss1.0000
17:45454280:C:CTacceptor_gain1.0000
17:45458203:ATGCC:Adonor_gain1.0000

AlphaMissense

6875 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
17:45475461:A:GW188R0.999
17:45475461:A:TW188R0.999
17:45475662:A:GW121R0.999
17:45475662:A:TW121R0.999
17:45439535:A:GC1001R0.998
17:45439539:G:CF999L0.998
17:45439539:G:TF999L0.998
17:45439541:A:GF999L0.998
17:45450694:C:TC856Y0.998
17:45450695:A:GC856R0.998
17:45450717:A:CC848W0.998
17:45450719:A:GC848R0.998
17:45453361:A:GC831R0.998
17:45454006:A:GW616R0.998
17:45454006:A:TW616R0.998
17:45439533:G:CC1001W0.997
17:45450686:A:GC859R0.997
17:45453359:G:CC831W0.997
17:45453360:C:TC831Y0.997
17:45453550:A:GW768R0.997
17:45453550:A:TW768R0.997
17:45477928:A:GW90R0.997
17:45477928:A:TW90R0.997
17:45439497:A:CF1013L0.996
17:45439497:A:TF1013L0.996
17:45439499:A:GF1013L0.996
17:45439503:G:CF1011L0.996
17:45439503:G:TF1011L0.996
17:45439505:A:GF1011L0.996
17:45439534:C:TC1001Y0.996

dbSNP variants (sampled 300 via entrez): RS1000076071 (17:45470330 G>T), RS1000217170 (17:45441969 G>A), RS1000295396 (17:45489850 T>A,C), RS1000302854 (17:45445209 A>C), RS1000325141 (17:45477263 C>G,T), RS1000349429 (17:45439452 G>A,T), RS1000422232 (17:45483223 T>C,G), RS1000600198 (17:45490068 C>A,T), RS1000725400 (17:45458648 T>G), RS1000824119 (17:45452373 T>C), RS1000882896 (17:45434743 G>A,C,T), RS1000906944 (17:45472121 C>T), RS1000932230 (17:45478853 T>C), RS1001069430 (17:45464747 G>C), RS1001082652 (17:45472633 A>G)

Disease associations

OMIM: gene MIM:611466 | disease phenotypes: MIM:611497, MIM:618107, MIM:259700

GenCC curated gene-disease

DiseaseClassificationInheritance
autosomal recessive osteopetrosis 6StrongAutosomal recessive
osteopetrosis, autosomal dominant 3StrongAutosomal dominant

ClinGen Gene-Disease Validity (2)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
osteopetrosis, autosomal dominant 3LimitedAD
autosomal recessive osteopetrosis 6ModerateAR

Mondo (4): autosomal recessive osteopetrosis 6 (MONDO:0012679), osteopetrosis, autosomal dominant 3 (MONDO:0020848), bone disorder (MONDO:0005381), autosomal recessive osteopetrosis 1 (MONDO:0009815)

Orphanet (3): Intermediate osteopetrosis (Orphanet:210110), Rare bone disease related to a common gene or pathway defect (Orphanet:364803), Autosomal recessive malignant osteopetrosis (Orphanet:667)

HPO phenotypes

39 total (30 of 39 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000164Abnormality of the dentition
HP:0000230Gingivitis
HP:0000505Visual impairment
HP:0000689Dental malocclusion
HP:0000707Abnormality of the nervous system
HP:0000768Pectus carinatum
HP:0000843Hyperparathyroidism
HP:0000938Osteopenia
HP:0001293Cranial nerve compression
HP:0001433Hepatosplenomegaly
HP:0001744Splenomegaly
HP:0001873Thrombocytopenia
HP:0001903Anemia
HP:0002240Hepatomegaly
HP:0002659Increased susceptibility to fractures
HP:0002684Thickened calvaria
HP:0002754Osteomyelitis
HP:0002757Recurrent fractures
HP:0002901Hypocalcemia
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0003418Back pain
HP:0004348Abnormality of bone mineral density
HP:0004618Sandwich appearance of vertebral bodies
HP:0004975Erlenmeyer flask deformity of the femurs
HP:0005652Cortical sclerosis
HP:0005746Osteosclerosis of the base of the skull
HP:0005789Generalized osteosclerosis
HP:0006480Premature loss of teeth

GWAS associations

17 associations (top):

StudyTraitp-value
GCST000567_1Parkinson’s disease6.000000e-08
GCST002748_11Epithelial ovarian cancer2.000000e-13
GCST004077_10Cognitive function6.000000e-07
GCST005116_48Male-pattern baldness1.000000e-24
GCST005116_49Male-pattern baldness1.000000e-26
GCST005116_50Male-pattern baldness3.000000e-16
GCST005232_131Neuroticism8.000000e-26
GCST005835_6Remission after SSRI treatment in MDD or neuroticism3.000000e-11
GCST006661_255Male-pattern baldness2.000000e-22
GCST006661_281Male-pattern baldness8.000000e-29
GCST006716_14Alcohol use disorder (total score)5.000000e-10
GCST008162_112Hip circumference7.000000e-06
GCST010703_91Brain morphology (MOSTest)2.000000e-65
GCST011494_74Daytime nap1.000000e-72
GCST011616_5Cortical volume8.000000e-13
GCST90002393_524Monocyte count9.000000e-21
GCST90013406_208Liver enzyme levels (alkaline phosphatase)2.000000e-17

EFO canonical traits (8, from GWAS)

EFO IDTrait name
EFO:0004337intelligence
EFO:0007660neuroticism measurement
EFO:0005658response to selective serotonin reuptake inhibitor
EFO:0009458alcohol use disorder measurement
EFO:0004346neuroimaging measurement
EFO:0007828daytime rest measurement
EFO:0005091monocyte count
EFO:0004533alkaline phosphatase measurement

MeSH disease descriptors (3)

DescriptorNameTree numbers
D001847Bone DiseasesC05.116
C564915Osteopetrosis, Autosomal Recessive 1 (supp.)
C566931Osteopetrosis, Autosomal Recessive 6 (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

36 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
sodium arsenitedecreases expression, increases abundance, increases expression, affects cotreatment2
Arsenicaffects cotreatment, decreases expression, increases abundance, increases expression2
Ozoneaffects expression, increases abundance, decreases expression2
aristolochic acid Iincreases expression1
dicrotophosincreases expression1
triphenyl phosphateaffects expression1
sodium arsenateincreases abundance, increases expression1
diethyl maleateincreases expression1
beta-lapachoneincreases expression1
cobaltous chlorideincreases expression1
di-n-butylphosphoric acidaffects expression1
perfluorooctane sulfonic acidincreases expression1
abrineincreases expression1
(+)-JQ1 compoundincreases expression1
Temozolomidedecreases expression1
Sunitinibincreases expression1
Acetaminophenincreases expression1
Air Pollutantsaffects expression, increases abundance1
Benzeneincreases expression1
Folic Aciddecreases expression1
Phthalic Acidsincreases methylation1
Quercetinincreases expression1
Smokedecreases expression1
Tetrachlorodibenzodioxinincreases expression1
Thiramincreases expression1
Tobacco Smoke Pollutionincreases expression1
Urethaneincreases expression1
Valproic Acidincreases methylation1
Vanadatesdecreases expression1
Cyclosporineincreases expression1

Clinical trials (associated diseases)

3 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT01166854Not specifiedRECRUITINGCharacterization of Familial Myopathy and Paget Disease of Bone
NCT03527511Not specifiedCOMPLETEDEffect of Active Vitamin D and Etelcalcetide on Human Osteoclasts in Patients With Chronic Kidney Disease
NCT06444503Not specifiedRECRUITINGClinico-biological Collection of Bone, Calcium and Growth Plate Pathologies